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Individual

CASSANDRA SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3757 ELIZABETH ST, RIVERSIDE, CA 92506-2508
(951) 216-7300
(951) 216-7333
Mailing address
PO BOX 549, LAKE ELSINORE, CA 92531-0549
(951) 216-7300
(951) 216-7333

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
02/10/2012
Last updated
02/10/2012
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